ER calls...and asks that "anesthesia" please come quickly take a patient to the OR because she is "bleeding profusely" and hypotension...and needs to have a D&C with the OB because of a missed/incomplete AB.

This is 2 pm...OB calls me and schedules the case for 4 pm because that's the earliest he's available.

I walk over to take a look at the patient...and the OB was there at the same time...mil-spec eyeball test.....patient is fine...ER acting like the sissy's that they are...ob and I snicker about them. we both leave

bp 130/80 hr 85

second set of labs sent....I tell them to chill...we'll come get her when everyone's ready.

1200 noon hct 41...

2 pm hct 24
na 149
k 2.7
cl 117
hco3 15
bun 5
cr. 0.5

An hour later, the patient is in preop now, and people are running around panicking.......running pit per Ob orders....and giving boluses for "hypotension"....bp 85/60....hr 95...

another anesthesia person is getting edgy...."i think she's really bleeding out"...

I go and look at her, and she looks a little worse....

assessment and plan?